Organization Active NPI

Social Clubhouse Inc.

  • Community/Behavioral Health Agency
  • Springfield, NJ
National Provider Identifier
1922465129
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2000617 Issued in NJ
Legal business name
SOCIAL CLUBHOUSE INC.
Practice address
58 Brown Ave
Springfield, NJ 07081-2902
Phone
(973) 376-2500
Fax
(973) 376-5737
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Goldblatt
Title
President
Phone
(973) 376-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2000617 NJ Primary

Addresses

Primary practice location

58 Brown Ave
Springfield, NJ 07081-2902

Mailing address

58 Brown Ave
Springfield, NJ 07081-2902

National Provider Directory

National Provider Directory
Tax ID family
Social Clubhouse Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

58 Brown Ave
Springfield, NJ 07081
Phone (908) 274-6601

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1922465129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BROWN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BROWN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812902",
            "telephone_number": "973-376-2500",
            "fax_number": "973-376-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL CLUBHOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "GOLDBLATT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-376-2500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "2000617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.